Individual provider Active NPI

Christine M Corley, AU.D.

  • Audiologist
  • Worcester, MA
National Provider Identifier
1124375399
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SP-992-AU Issued in MA
Practice address
24 Park Ave
Worcester, MA 01605
Phone
(508) 753-8155
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SP-992-AU MA Primary

Addresses

Primary practice location

24 Park Ave
Worcester, MA 01605

Mailing address

24 Park Ave
Worcester, MA 01605
Phone (508) 753-8155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000357 MA Practitioner - Qualified Audiologist 3577712983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-992-AUMAMDAudiologist
992MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Mar 28, 2025 Accepting new patients
Szabar, Inc. Past Accepting new patients
Cambridge Family Health North Past Accepting new patients
Hearusa Inc Past Accepting new patients
Vernick & Gopal,LLC PastSince Mar 1, 2004 Accepting new patients
Atlantic Audiology, Incorporated Audiologist Past Accepting new patients

Locations

500 Congress St
Ste 2J
Quincy, MA 02169
Phone (617) 479-7503

979 Main St
Wakefield, MA 01880
Phone (781) 246-0305

500 Salem St
Wilmington, MA 01887
Phone (978) 988-6000

500 Salem St
#62
Wilmington, MA 01887
Phone (978) 988-1999

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1124375399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-753-8155",
            "fax_number": "508-797-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-753-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "SP-992-AU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.